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Compounded medications, such as Semaglutide/Cyanocobalamin, are not FDA-approved medications, and FDA does not review compounded medications for safety or efficacy

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After adding bacteriostatic water, gently swirl or roll the vial until the lyophilized powder has fully dissolved

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[11] To avoid this, always ensure that the final admixture is approximately isotonic, typically achieved by the drug or other diluents added to the bacteriostatic water, before injecting into the bloodstream

Further testing: Your doctor may suggest liver function tests, complete blood count, or imaging if serious conditions are suspected